FTX.095.371

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TMSIS Dataguide

Medicaid.gov

Version:

PAYER-MCR-PLAN-TYPE

Data Element

DE Number

FTX371

System DE Number

FTX.095.371

File Name

FTX - FINANCIAL TRANSACTION

File Segment Number

File Segment Name

MISCELLANEOUS-PAYMENT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	The Record ID represents the type of segment being reported. The Record ID communicates how the contents of a given row of data should be interpreted depending on which segment type the Record ID represents. Each type of segment collects different data elements so each segment type has a distinct layout. The first 3 characters identify the relevant file (e.g., ELG, PRV, CIP, etc.). The last 5 digits are the segment identifier padded with leading zeros (e.g., 00001, 00002, 00003, etc.).
Size	X(2)
FLF Start Position	299
FLF Stop Position	300
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 2 characters 2. Value must be in Managed Care Plan Type List (VVL) 3. If Payer ID Type equals "02", then value must be populated 4. If Payer ID Type does not equal "02", then value must not be populated 5. Conditional

Valid Value Code Set	Valid Value Code	Valid Value Name	Valid Value Description	Effective Start Date	Effective End Date

RULE ID	RULE Definition
RULE-8361	If a financial transaction is from an FTX file, then the payer MCR plan type value reported must be compatible with specified T-MSIS picture format: X(2).
RULE-8549	If the payer managed care plan type is populated on the Miscellaneous Payment Transaction from a FTX file, then the payer managed care plan type reported must be found in the list of valid values.

Measure ID	Measure Name

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
FTX031	FTX.002.031	PAYER-MCR-PLAN-TYPE	FTX00002	INDIVIDUAL-CAPITATION-PMPM

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
10/10/2025	4.0.19	FTX.095.371	UPDATE	Definition	This describes the type of managed care plan or care coordination model of the payer, when applicable. The valid value list is comprised of the standard managed care plan type list from the MCR and ELG files and a complementary list of care coordination models.	The Record ID represents the type of segment being reported. The Record ID communicates how the contents of a given row of data should be interpreted depending on which segment type the Record ID represents. Each type of segment collects different data elements so each segment type has a distinct layout. The first 3 characters identify the relevant file (e.g., ELG, PRV, CIP, etc.). The last 5 digits are the segment identifier padded with leading zeros (e.g., 00001, 00002, 00003, etc.).
05/29/2025	4.0.9	FTX.095.371	UPDATE	Definition	The Record ID represents the type of segment being reported. The Record ID communicates how the contents of a given row of data should be interpreted depending on which segment type the Record ID represents. Each type of segment collects different data elements so each segment type has a distinct layout. The first 3 characters identify the relevant file (e.g., ELG, PRV, CIP, etc.). The last 5 digits are the segment identifier padded with leading zeros (e.g., 00001, 00002, 00003, etc.).	This describes the type of managed care plan or care coordination model of the payer, when applicable. The valid value list is comprised of the standard managed care plan type list from the MCR and ELG files and a complementary list of care coordination models.
09/16/2024	4.0.0	FTX.095.371	UPDATE	File segment	None	76
09/16/2024	4.0.0	FTX.095.371	ADD	N/A		Created